Ritchey F J, Raney M R
Med Care. 1981 Jan;19(1):90-103. doi: 10.1097/00005650-198101000-00010.
Mailed questionnaires were analyzed for 100 physicians concerning their favorability toward allowing clinical pharmacists to perform role tasks which potentially encroach on the physician's role. A Guttman Scale of Task Favorability was computed and revealed that physicians were unfavourable to those pharmacy tasks that allow pharmacists to make independent technical-therapy decisions. Physicians were favorable toward clerical and patient-management tasks, but only as adjunct tasks to the physician's role. Generally, older physicians, those with a high risk of malpractice suit and those who write a large number of prescriptions, were least favorable to pharmacists expanding their roles. Younger physicians, those who spend a high proportion of their practice time in hospitals and those who have had previous experience with clinical pharmacists were most favorable. The analysis was framed in the theoretical context of professional power and professional role-boundary maintenance.
对100名医生的邮寄调查问卷进行了分析，内容涉及他们对允许临床药剂师执行可能侵犯医生角色的任务的支持程度。计算了任务支持度的古特曼量表，结果显示医生们不支持那些允许药剂师做出独立技术治疗决策的药学任务。医生们支持文书工作和患者管理任务，但仅将其视为医生角色的辅助任务。一般来说，年长的医生、面临医疗事故诉讼高风险的医生以及开具大量处方的医生最不支持药剂师扩大其角色。年轻的医生、在医院执业时间占比高的医生以及之前有过与临床药剂师合作经验的医生最支持。该分析是在专业权力和专业角色边界维护的理论背景下进行的。
